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Setting Conditions
(anything that makes challenging behavior more or less likely to occur. TERM 2
The goals of Crisis Intervention
DEFINITION 2 Support (environmentally and emotionally to reduce stress and risk ) & Teach, children better ways to cope with stress TERM 3 DEFINITION 3 Stress Model of Crisis TERM 4
Degrees of Stress
DEFINITION 4 Baseline Triggering Event Escalation Phase Outburst Recovery TERM 5
Crisis situation- How do I best
respond?
DEFINITION 5 Manage the environment to neutralize triggers Engage the student, give emotional support Exercise self-control over own feelings
Four questions we ask ourselves in a crisis
situation
What am I feeling now? What does young person feel, need, or want? How is the environment affecting the situation? How do I best respond? TERM 7
Pain based behavior
DEFINITION 7 Impulsive outbursts Aggression Running away Self injury defiance inability to regulate trauma re- enactment TERM 8
Nonverbal techniques for Crisis
Communication And Active Listening
DEFINITION 8 silence nods soft voice eye contact TERM 9
Encouraging and Eliciting Techniques
DEFINITION 9 "How did you respond" "I'd Like to hear more" Tone of Voice TERM 10
Understanding responses (labels &
validates)
DEFINITION 10 You feel uncomfortable when your friends talk about school." "Here is what I hear you saying, ..."
Reactive Aggression
Affective and expressive aggressiveLoss of control and emotional flooding Emotional are dominant TERM 17
Proactive Aggression
DEFINITION 17 Instrumental or operant aggression Goal orientedCognitions are dominant TERM 18
Nonverbal Behaviors Communication
DEFINITION 18 Eye contact body language personal space height differences gender differences cultural differences TERM 19
Immediate Response Priorities
DEFINITION 19 Reactive Safety Understanding and support Remove or reduce stimulus Proactive Safety Containment and Negotiation Engagement and reasoning TERM 20
Elements of a potentially violent situation
DEFINITION 20 Potential trigger to violence A target weapon level of stress or motivation
Remove the potential trigger to violence by:
Don't touch angry person avoid making aggressive moves or provocative statements Avoiding the conflict cycle and counter aggression Removing others who might trigger the violence TERM 22
TCI Objective
DEFINITION 22 To provide the skills and knowledge to students to develop new responses to their environment that will enable them to achieve a higher level of social and emotional maturity. TERM 23
Crisis Co-Regulation Objective
DEFINITION 23 To provide support in away that reduces stress and risk TERM 24
Non Verbal Crisis Co-Regulation Strategies
DEFINITION 24
- Deep Break 2. Protective stance 3. Step back 4. Give the situation time 5. Sit down, if appropriate 6. Remember the importance of body language and facial expression TERM 25
Verbal Crisis Co-Regulation Strategies
DEFINITION 25 I can see your feeling (Validate feelings) When you do the positive behavior(Encourage positive behaviors) I know we can solve this (Emphasize desirable outcomes) I am sorry (Offer and apology)
Proactive Aggression
- Expressions: impassive, staring, smiling, smirking
- Actions: deliberate, methodical 3. Tone: firm, calm, menacing 4. Emotions: apparently controlled TERM 32
Reactive Aggression
DEFINITION 32
- Expression: wide eyed, red faced 2. Actions: disorganized, impulsive 3. Tone: angry, loud, shrill 4. Emotions: highly aroused TERM 33
Warning Signs of Asphyxia
DEFINITION 33
- Limp and ceases to breathe simultaneously 2. States he/she can't breathe 3. Respiration is labored, rapid or abnormal 4. May make grunting noises 5. Vomiting or turns dusky purple color TERM 34
Asphyxia
DEFINITION 34 Deprivation of oxygen to living cells TERM 35
Recommendations to reduce risk of injury or
death during restraint
DEFINITION 35
- Don't place near mouth nose or conform to contours of the face
- No pressure on neck 3. No neck compressions 4. No weight on chest or back 5. No arms behind back 6. Don't bend forward in seated 7. Don't stay in supine once no longer a safety risk 8. Don't ignore warning signs of asphyxia 9. Take need of emergency medical treatment 10. No soft surfaces 11. Never under 5 years of age
5 Goals of the Life Space Interview
- Return the person to normal functioning 2. Clarify events 3. Repair and restore relationship 4. Teach new coping skills 5. Reintegrate the young person back into the program TERM 37
Steps of the Life Space Interview
DEFINITION 37
- Isolate conversation 2. Explore the young person's point of view 3. Summarize events, feelings and content 4. Connect feelings to behavior 5. Alternate behaviors discussed 6. Plan / practice new behavior 7. Enter young person back into the routine TERM 38
5 Components to make TCI
effective
DEFINITION 38
- Leadership & Program support 2. Clinical participation 3. Supervision & post crisis response 4. Training and Competency standards 5. Documentation and incident monitoring and feedback TERM 39
Objective of Co-regulation
DEFINITION 39 To provide support in a way that reduces stress and risk TERM 40
Decrease the level of stress or motivation by:
DEFINITION 40 Using your relationshipActively listening to identify feelingRemoving the audienceUsing co-regulation strategies (reactive aggressive)Offering alternatives, non aggressive ways to achieve goals (proactive aggression)
